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Chevron� O <br /> Re <br /> 1 <br /> *LarKaqerLabazWriesA,ccl # j UrC YJ"( Sample#For Lancaster t�oratari_ only SCR# 1 �6 r Q <br /> VWwegAktpsaso <br /> Analyses Requested <br /> i=ara* ~f es` 2 Matrix Preservation Codes Preservative Codes <br /> �,:,S�: a C,� r H=HCI T=ThiosufPate <br /> Site Address-31V-91, j yQ >!� <br /> Chevron PM .gob C4"/2�s Lead Consultant -15-kQzWJQ S=H2SO4 O=Other <br /> ConsultanVOffice , _ ❑ ❑J value reporting needed <br /> Consultant Pq Mgr �✓ar rcc�r p —_ S a $ C3Must meet lowest detection limbb <br /> possible for 8260 compounds <br /> i Or 13 <br /> Consultant Phor-K Fax# ��� � o c 3 0 8021 MTBE Confirmation <br /> Sampler � b ❑ .8 0 FE3 Confirm highest hit by 8260 <br /> Service Order# Q Non SAR d _9 9 R 11 Confirm all hits by 8260 <br /> Date Time Ep — © � + $ ❑Run oxy s on highest hit <br /> Sem le Identffi on laded Collect C7 C7 rR O t°- ❑Run ,oxy s an all hits <br /> xi I Comments!Remarks <br /> Q oxo 5 and <br /> -rP� 2o <br /> UuS A, <br /> z <br /> 3 <br /> r <br /> n <br /> and T e Requested(TAT)(please drde) Rol a Received tyr Date Titria <br /> S T 72 hour 48 hour byTime Recelyed Date lime a1 <br /> 24 tour 4 day 5 day <br /> Data Package Options(please drde H required) Rol by Received by Date Time <br /> QC Summary Type I—Full <br /> Type VI(Kao gats) ❑Coeft Deliverable not needed Relinqul sial Camer R Nedby- <br /> WIP(RWQCB) UPS FedEx Other o�M <br /> Disk Temperature Upon R IPt C° <br /> Custody Seals YW NoON <br /> Lanceshir laboratories,Inc.2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)6W2300 MW Rev 7!30!01 1 <br /> Copies While and ysflow should aocornpany samples to Lancaster laboratories The pink copy should be retained by the dient <br />